Individual provider · Type 1 NPI

Dheeraj Pamidimukkala, DMD

General Practice Dentistry · Portland, ME

NPI number 1447355276 Active

About NPI 1447355276

Dheeraj Pamidimukkala, DMD's National Provider Identifier is 1447355276, issued on Sep 14, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, ME. The record was last updated on Jul 8, 2007.